From directly observed therapy to accompagnateurs: enhancing AIDS treatment outcomes in Haiti and in Boston.
Clin Infect Dis
; 38 Suppl 5: S429-36, 2004 Jun 01.
Article
em En
| MEDLINE
| ID: mdl-15156434
ABSTRACT
Like tuberculosis, human immunodeficiency virus (HIV) disease is associated with poverty and social inequalities, conditions that hamper the delivery of care. Like tuberculosis, treatment of HIV infection requires multidrug regimens, and the causative agent acquires drug resistance, which can be transmitted to others. A pilot project in rural Haiti introduced DOT-HAART (directly observed therapy with highly active antiretroviral therapy) for the care of patients with advanced acquired immune deficiency syndrome. A similar DOT-HAART effort was launched in Boston for patients with drug-resistant HIV disease who had experienced failure of unsupervised therapy. In both settings, community health promoters or accompagnateurs provide more than DOT they offer psychosocial support and link patients to clinical staff and available resources. DOT-HAART in these 2 settings presents both challenges and opportunities. These models of care can be applied to other poverty-stricken populations in resource-poor settings.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Infecções por HIV
/
Fármacos Anti-HIV
/
Terapia Diretamente Observada
/
Antituberculosos
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
País como assunto:
America do norte
/
Caribe
/
Haiti
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article